Individual
MEGAN BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSP
Contact information
Practice address
420 N RAYNOR AVE, JOLIET, IL 60435-6065
(815) 740-3196
Mailing address
420 N RAYNOR AVE, JOLIET, IL 60435-6065
(815) 740-3196
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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